Omega Health And Wellness LLC
Nurse Practitioner, Pediatrics in Hamburg, NY. Organization (NPI-2).
NPI number1295010239
StatusActive
Last updated in NPPESOct 20, 2011
Details
- NPI
- 1295010239
- Entity type
- Organization (NPI-2)
- Legal business name
- Omega Health And Wellness LLC
- Organization subpart
- No
- Enumeration date
- Oct 20, 2011
- Last updated
- Oct 20, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | F381390-1 | NY | Yes |
Practice location
5893 Camp RdSuite 9
Hamburg, NY 14075-4470
Phone 716-648-5500 · Fax 716-648-7196
Mailing address
5893 Camp RdSuite 9
Hamburg, NY 14075-4470
Phone 716-648-5500 · Fax 716-648-7196
Authorized official
Rosemarie McGiveron
Vice President
7166485500
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